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http://www.hcpro.com/content.cfm?dp=HIM&content_id=208886#:~:text=Since%20Medicare%20clearly%20states%20that%20observation%20over%2048,medical%20necessity%20of%20all%20hours%20to%20be%20billed.
https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R42BP.pdf
observation care or to admit the patient as an inpatient can be made in less than 48 hours, usually in less than 24 hours. In only rare and exceptional cases do reasonable and necessary outpatient observation services span more than 48 hours. Hospitals may bill for patients who are “direct admissions” to observation. A “direct
https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00091093
Should be billed according to observation billing guidelines. All hours of observation up to 72 hours should be submitted on a single line. The date of service being the date the order for observation was written. Orders for observation services are not considered to be valid inpatient admission levels of care orders.
http://www.hcpro.com/content.cfm?dp=HIM&content_id=208886
In the majority of cases, the decision whether to discharge a patient from the hospital following resolution of the reason for the observation care or to admit the patient as an inpatient can be made in less than 48 hours, usually in less than 24 hours. Since Medicare clearly states that observation over 48 hours should be rare and exceptional, we recommend that …
https://www.medica.com/-/media/documents/provider/claim-tools/guidelines-for-billing-observation-services.pdf?la=en&hash=A59CA06762E9812627619DC875A3E8128B987CBD
in some circumstances it may require up to 48 hours. The following billing guidelines are consistent with requirements of the Centers for Medicare and Medicaid Services (CMS): Observation Time . Observation services must be ordered by the physician or other appropriately authorized individual. The
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